Individual provider Active NPI

Patricia Mary Moore, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1932239688
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP3737 Issued in AZ
Practice address
3785 W Ina Rd
Tucson, AZ 85741-2247
Phone
(520) 339-5807
NPI assigned
Mar 6, 2007
Last updated
Jul 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP3737 AZ Primary

Addresses

Primary practice location

3785 W Ina Rd
Tucson, AZ 85741-2247

Mailing address

3785 W Ina Rd
Tucson, AZ 85741-2247
Phone (866) 389-2727

Other practice location 1

4041 S McClintock Dr
Tempe, AZ 85282-5879
Phone (520) 233-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100924000982 AZ Practitioner - Nurse Practitioner 6204952419 Reassigns benefits to 1 organization
I20250318001767 NV Practitioner - Nurse Practitioner 6204952419 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP3737AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adobe Provider Group CurrentSince Mar 18, 2021 Accepting new patients
Adobe PH PC CurrentSince Mar 10, 2025 Accepting new patients
Vpa PC CurrentSince May 15, 2020 Accepting new patients
Adobe Care and Wellness LLC Past Accepting new patients

Locations

7500 N Dreamy Draw Dr
Ste 100
Phoenix, AZ 85020
Phone (520) 233-7111

7500 N Dreamy Draw Dr
Ste 100B
Phoenix, AZ 85020
Phone (520) 233-7111

7600 N 15th St
Ste 165B
Phoenix, AZ 85020
Phone (480) 977-6000

4041 S McClintock Dr
Ste 302
Tempe, AZ 85282
Phone (520) 233-7111

7251 W Lake Mead Blvd
Ste 300
Las Vegas, NV 89128
Phone (702) 562-4096

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1932239688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 W INA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412247",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3785 W INA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412247",
            "telephone_number": "520-339-5807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4041 S McClintock Dr",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852825879",
            "country_code": "US",
            "telephone_number": "520-233-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "PATRICIA",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.